冠状动脉支架内组织脱垂的研究进展
Research progress on tissue prolapse in coronary stents
廖祎 1崔同涛 1陆睿 1鲁明军1
作者信息
- 1. 510120 广州,广州医科大学附属第一医院心血管内科
- 折叠
摘要
光学相干断层成像(OCT)可提供接近组织学分辨率的活体冠状动脉成像,在OCT检查的实践中,研究者发现支架植入后组织脱垂(TP)是一种非常普遍的现象.斑块特征、支架设计、斑块负荷、坏死核心及炎症状态等因素可能与这一现象密切相关.目前,针对TP的处理策略尚未标准化,基于危险分层及危险因素等综合分析下的措施各有局限性,仍需大规模临床试验的进一步证实.文章主要就支架内组织脱垂的危险分层、预测因素、干预策略等进行综述.
Abstract
Optical coherence tomography(OCT)can provide in vivo coronary artery imaging with close to histological resolu-tion.In the practice of OCT examination,researchers found that tissue prolapse(TP)after stent implantation is a very common phenom-enon.Factors such as plaque characteristics,stent design,plaque load,necrotic core,and inflammatory status may be closely related to this phenomenon.At present,the treatment strategies for TP have not been standardized,and measures based on comprehensive analy-sis of risk stratification and risk factors have their own limitations.Measures based on comprehensive analysis of risk stratification and risk factors have their own limitations.This article mainly reviews the risk stratification,predictive factors,and intervention strategies of in-stent tissue prolapse.
关键词
冠心病/支架内组织脱垂/光学相干断层成像Key words
coronary heart disease/tissue protrusion in stent/optical coherence tomography引用本文复制引用
出版年
2024
NETL
NSTL
万方数据